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Del Valle Co. jl~., ... .'_ - ~-:.-·. :-U,.._,, Dr.
To
For Labor done durjng the Month of __ ~ ___ / _______ 192_ !
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MONTH DAY TIME DESCR I PT ION OF WORK DO NE
1
2
3
--+-----+---- -----------------------------+----
4
5
6
7
8
9
10
11
12
13
14
J •
15
16 / //
17 0
18
19
20
21 9 . 71- -'/ ;'~ ~~-~-
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22 c; ./? I /(_, ---
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23 .~ .. , I ,,
I 24 q • I I .I I
25 q 'r I 1~
26 c; ' , ,/
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27 'q ,, J , ,
28 q '' , I I I
29 '9 ' , / ,,,
30 t? ,, / ,,
,
31
TOTAL
N o. Days at $ per day, a mou ntin g to
-1--1---1--
1- --i---i----- 1---
___ N_o_. _D_a"--ys _____________ a_t -'-$ ___ __.p_e_r _da_.__v_. _a,_n _ou_n_ti--'ng'-'--to ___
1
L ess
L ess for
_____ A_' 1_n _nt_rn_t _d_ue _ _____________________ ___ , __ ____ __ ~ __ ·cf __ ___ , _CJ _
1 1 1 1 ---
_ - ___ -_ -_-_-_·-_--_-____ -
Approved by R eceived Paym ent :
_ _____________ Forem an (Si gn H ere) __ ~ __ ,<~~'-.J_~T--~-------+--
\
---------------~Supt.
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